Individual provider Active NPI

Beatriz Ethridge

  • Massage Therapist
  • Harlingen, TX
National Provider Identifier
1396611091
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT132358 Issued in TX
Practice address
1502 Midlane Dr Ste 110
Harlingen, TX 78552-3240
Phone
(956) 495-0402
Fax
(956) 622-0333
NPI assigned
Oct 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT132358 TX Primary

Addresses

Primary practice location

1502 Midlane Dr Ste 110
Harlingen, TX 78552-3240

Mailing address

1502 Midlane Dr Ste 110
Harlingen, TX 78552-3240
Phone (956) 495-0402

Other names 1

  • Inmaculada Beatriz Ethridge Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT132358TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Life Well LLC Massage Therapist CurrentSince Oct 12, 2025 Accepting new patients

Locations

1502 Midlane Dr
Ste 110
Harlingen, TX 78552
Phone (956) 495-0242

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1396611091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 MIDLANE DR STE 110",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785523240",
            "telephone_number": "956-495-0402",
            "fax_number": "956-622-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 MIDLANE DR STE 110",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785523240",
            "telephone_number": "956-495-0402",
            "fax_number": "956-622-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHRIDGE",
        "first_name": "BEATRIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT132358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INMACULADA",
            "last_name": "ETHRIDGE",
            "middle_name": "BEATRIZ",
            "credential": "MT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.